Healthcare Provider Details

I. General information

NPI: 1568521631
Provider Name (Legal Business Name): SHARON M. SWIGART LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27502 AMETHYST WAY
CASTAIC CA
91384-3166
US

IV. Provider business mailing address

PO BOX 83
CASTAIC CA
91310-0083
US

V. Phone/Fax

Practice location:
  • Phone: 760-250-1195
  • Fax:
Mailing address:
  • Phone: 760-250-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT30136
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: